Köhler Disease synonyms

Köhler Disease, also known as Köhler bone disease or osteochondrosis of the tarsal navicular bone, is a rare condition that primarily affects children between the ages of 3 and 7. It is characterized by temporary disruption of blood supply to the navicular bone in the foot, leading to bone degeneration and subsequent pain and limping.

Synonyms for Köhler Disease include:

• Navicular osteochondrosis


• Navicular osteochondritis


• Navicular aseptic necrosis


• Iselin disease (in reference to a similar condition affecting the base of the fifth metatarsal)

The exact cause of Köhler Disease is not fully understood, but it is believed to be related to the vulnerability of the developing navicular bone to mechanical stress and decreased blood flow. The condition typically affects only one foot, with boys being more commonly affected than girls.

Symptoms of Köhler Disease may include:

• Pain and tenderness in the midfoot area


• Limping or favoring one foot


• Swelling and redness over the affected area


• Difficulty walking or participating in physical activities

Diagnosis of Köhler Disease involves a thorough physical examination, evaluation of symptoms, and imaging tests such as X-rays or MRI scans. These tests help to rule out other possible causes of foot pain and confirm the presence of bone degeneration in the navicular bone.

Treatment for Köhler Disease focuses on relieving pain and promoting healing. It typically involves:

• Activity modification and rest to reduce stress on the affected foot


• Immobilization with a cast or walking boot to support the foot and allow for healing


• Nonsteroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and reduce inflammation


• Physical therapy exercises to improve strength and flexibility

In most cases, Köhler Disease resolves on its own as the affected bone regains its blood supply and heals. The prognosis is generally excellent, with no long-term complications expected.